Provider Demographics
NPI:1669492294
Name:DUENSING, KENNETH L (DO)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:L
Last Name:DUENSING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:BLUE RAPIDS
Mailing Address - State:KS
Mailing Address - Zip Code:66411-1419
Mailing Address - Country:US
Mailing Address - Phone:785-363-7202
Mailing Address - Fax:785-363-7630
Practice Address - Street 1:607 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:BLUE RAPIDS
Practice Address - State:KS
Practice Address - Zip Code:66411-1419
Practice Address - Country:US
Practice Address - Phone:785-363-7202
Practice Address - Fax:785-363-7630
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0520196207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS608170OtherFIRSTGUARD
KS047196OtherBCBS KS
NE48063022423Medicaid
B91188Medicare UPIN
NE48063022423Medicaid
KS047196Medicare ID - Type UnspecifiedPART B BRMC